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OMS SPECIALISTS
NPI 1508160060
Dentist - Oral and Maxillofacial Surgery in Cambridge, MN

Active since December 27, 2010
1595 2ND AVE NE STE 120, CAMBRIDGE, MN 55008(763) 757-2220 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oms Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMS SPECIALISTS (NPI 1508160060) is a healthcare organization registered as an oral and maxillofacial surgery in Cambridge, Minnesota and active in the NPI registry since December 2010. The organization lists Kirby Charles Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1508160060
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL & MAXILLOFACIAL SURGERY SPECIALISTS, PA
Location Address1595 2ND AVE NE STE 120Cambridge, MN 55008-8071
Mailing Address550 County Road D, Suite 12New Brighton, MN 55112 · (651) 259-9902 · Fax (651) 259-9930
Phone(763) 757-2220
Organization SubpartNo
Authorized OfficialKirby Charles JohnsonPresident · (612) 788-9246
Enumeration DateDecember 27, 2010
Last NPPES UpdateJuly 29, 2014
✔ NPI 1508160060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1595 2ND AVE NE STE 120, Cambridge, MN 55008
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Other Names 1

Doing Business AsOms Specialists

Other Identifiers 3

Medicare UPINU72794MN
Medicare UPINT39145MN
Medicare UPINU72187MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral & Maxillofacial Surgery Specialists, PA's NPI number?

The NPI number for Oral & Maxillofacial Surgery Specialists, PA is 1508160060. It was assigned to this organization in the NPPES registry on December 27, 2010. The provider is doing business as Oms Specialists.

Where is Oral & Maxillofacial Surgery Specialists, PA located?

Oral & Maxillofacial Surgery Specialists, PA is located at 1595 2nd Ave NE Ste 120, Cambridge, MN 55008. The listed phone number is (763) 757-2220.

What is Oral & Maxillofacial Surgery Specialists, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Oral & Maxillofacial Surgery Specialists, PA was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.